(for official use only)
SCOTTISH REFUGEE COUNCIL
APPLICATION FORM – Self Employed
Please complete this application form in black ink or typescript:
NOTE: If you wish to apply for more than one post, please submit separate application forms and state the position for which you are applying.
Position applying for:Full name:
Home Address:
Telephone Nos. / Mobile: / Home:
Email Address:
Under the terms of the 1996 Asylum and Immigration Act, do you have permission to work in the UK? Yes No (please tick one box)
Where did you see/hear of this vacancy?
Are you related to any staff members, Director or other officials of the Scottish Refugee Council? Yes No (please tick one box)
If yes, please give details.
1. Secondary School Education
Name & Address of School Attended / Certificates Gained / Subjects Studied / Results/Grade
(e.g. ABC or 123) / Month/ Year / Tick if
Awaiting Results?
2. Further, Vocational and Higher Education
List all Colleges, Polytechnics or Universities attended (give details of examinations taken and results awarded or awaiting)
College/University / Dates / Qualifications Obtained, Grade(s) and Major Subjects Studied / Date Awarded/
Awaited
From / To
3. Professional and Other Training
Details / Date Awarded
4. Present / Most Recent Job Role
Please tick the box if you have any objections to your current employer being contacted prior to interview (tick)
Name and Address of Employer: / Employed - From: To:
Position Held:
Responsibilities and Current Duties:
5. Previous Job Roles
Please give details of all your work history starting with your most recent employment, you can include any work experience placement. Please include reasons for any breaks in employment. Continue on a separate sheet if necessary.
Dates / Name & Address of Employer / Position Held and Nature of Duties
From / To
Tick Box if you are attaching a continuation sheet.
6. Experience, Skills and Training
Please relate your experience, skills and training to the Main duties and responsibilities and skills and qualities in the job description. Continue on a separate sheet if necessary.
7. Commentary
Please use this section to explain why you are applying for this post.
8. Other relevant information to support your application
Please include any details of voluntary work, membership of organisations, etc.
9. referees
Please give names, addresses and telephone numbers of two persons who can confirm your suitability for this position and should, preferably, know you in a work capacity. One must be your present or most recent employer (paid or voluntary work). Relatives or partners are not acceptable as work referees. All appointments are subject to the receipt of references satisfactory to the Scottish Refugee Council.
1. / Name: / 2. / Name
Position: / Position
Organisation: / Organisation:
Address: / Address:
Email:
Phone No: / Email:
Phone No:
Please tick the box if you have any objection to a referee being contacted prior to interview / Please tick the box if you have any objection to a referee being contacted prior to interview
(Reference will only be taken up for short-listed applicants)
Criminal History
This position requires a Disclosure Scotland check. It is not “exempted” and therefore you are not required to disclose any convictions which are deemed to be spent.
10. rehabilitation of offenders act 1974 (exclusions and exceptions) (scotland) order 2003 (as amended)Under the provisions of the Rehabilitation of Offenders Act 1974, do you wish to bring any conviction, whether spent or unspent, to the notice of those responsible for short listing and/or interviewing? YES NO
Please note you may be required either to undergo a Police check or be asked to provide evidence to support the above declaration.
11. rehabilitation of offenders act 1974 (exclusions and exceptions) (scotland) order 2003 (as amended)
I certify that all the information I have given on this form is true and correct to the best of my knowledge. Any false statement may be sufficient cause for rejection or, if employed, may result in the termination of employment. I understand that the information I have given may be stored in manual and electronic files and is subject to the provisions of the Data Protection Act 1998. I agree to information provided on this form being used by the Scottish Refugee Council in accordance with the Act.
Signature: / Date:
Please refer to for the Code of Practice. Applicants are asked to note the organisation has a policy on ex-offenders and on usage and retention of disclosure forms.
1